Linkov Gary, Branham Gregory
Department of Otolaryngology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri.
Department of Otolaryngology-HNS, Washington University in Saint Louis School of Medicine, Facial Plastic Surgery Center, Saint Louis, Missouri.
Facial Plast Surg. 2018 Oct;34(5):443-447. doi: 10.1055/s-0038-1669989. Epub 2018 Oct 8.
Creation of a pleasing dorsal nasal profile in the anterior and lateral views requires proper analysis and planning to determine the required series of steps to accomplish the desired outcome. The widened nasal dorsum is a common esthetic complaint of the patient seeking rhinoplasty. Often patients seek an unrealistic result that, if accomplished, would leave them with a restricted nasal vault and nasal airway compromise. Nasal function must be balanced with the patient and surgeon's desire to narrow the nasal dorsum. Various techniques are used to control the width of the upper third, or bony vault, and middle third, or cartilaginous vault.
要在前视图和侧视图中塑造出令人满意的鼻背轮廓，需要进行恰当的分析和规划，以确定达成预期效果所需的一系列步骤。鼻背变宽是寻求隆鼻手术的患者常见的美学诉求。患者常常期望得到不切实际的效果，而一旦实现，将会导致鼻穹窿受限和鼻气道受损。必须在鼻功能与患者及外科医生缩小鼻背的愿望之间取得平衡。有多种技术可用于控制上三分之一（即骨性鼻穹窿）和中三分之一（即软骨性鼻穹窿）的宽度。
